Pneumonia in the presentation of Kawasaki disease: The syndrome or a sequence of two diseases?

Khoury, Lana; Livnat, Galit; Saied, Mohamad Hamad; Yaacoby-Bianu, Karin

doi:10.1002/ccr3.6676

Clinical Case Reports

2022

DOI: 10.1002/ccr3.6676

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Pneumonia in the presentation of Kawasaki disease: The syndrome or a sequence of two diseases?

Lana Khoury

Galit Livnat

Mohamad Hamad Saied

et al.

Abstract: Two cases of Kawasaki disease (KD) presented as persistent lung consolidation associated with Group A Streptococcus and Influenza A co‐infection, which resolved following intravenous immunoglobulin. Thus, pediatricians should consider the diagnosis of KD in the presence of pneumonia that is nonresponsive to antibiotic therapy with prolonged fever and inflammatory reactions.

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Cited by 2 publications

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Relato De Caso

Araújo Quinderé,

Feijó Dantas Arrais

2024

Cadernos ESP

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Relatar caso de Doença de Kawasaki (DK) incompleta com infecção concomitante - pneumonia - em lactente que esteve internada em hospital secundário do Sistema Único de Saúde na ala pediátrica em Fortaleza, Ceará. É um estudo observacional do tipo transversal, com elementos descritivos e retrospectivos, realizado em janeiro de 2024, por meio da revisão de prontuário eletrônico. A equipe assistente foi a responsável pelo estudo e teve como base de referencial a literatura que consta no UpToDate e MEDLINE. Evidenciou-se que infecção concomitante não exclui o diagnóstico da DK incompleta e que o tratamento é instituído tardiamente - cerca de 22,4 dias do início da febre. A presença da infecção não alterou a resposta à terapêutica. A DK incompleta deve ser lembrada em pacientes com doença febril prolongada na tentativa de instituir a terapêutica e evitar complicações.

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Relato De Caso

Araújo Quinderé,

Feijó Dantas Arrais

2024

Cadernos ESP

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Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

Kostara,

Serbis,

Pavlou

et al. 2023

Cureus

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Kawasaki disease (KD) is an acute medium-vessel vasculitis, mainly affecting infants older than six months and children under five years. It predisposes to the development of coronary artery aneurysms and constitutes the leading cause of acquired heart disease in children. Its diagnosis is based on clinical criteria, namely, fever lasting for ≥ five days together with at least four of the five principal clinical features of the disease. Occasionally, children with KD present with fever, but they fulfill only some of the five principal criteria, and this is described as incomplete KD. Furthermore, "atypical" KD is a term that is usually used for cases that appear with rather unusual clinical manifestations, which complicate clinical judgment and may delay diagnosis and treatment. In this case series, we present four cases of KD with rather unusual clinical features: a five-year-old boy with lobar pneumonia, a six-year-old girl with orange-brown chromonychia appearing on the 10 th day of the disease, a 2.5-month-old infant with prolonged fever and urinary tract infection, and an 18-month-old infant with refractory KD and high suspicion of multisystem inflammatory syndrome in children (MIS-C). A literature review on the unusual manifestations of atypical KD was performed to identify clinical findings that must alert the clinician to consider this clinical entity.

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Pneumonia in the presentation of Kawasaki disease: The syndrome or a sequence of two diseases?

Cited by 2 publications

References 21 publications

Relato De Caso

Relato De Caso

Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

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